NO PERMIT NUMBER--r
3
LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. - 10081 BF
FILE NO. 51,335
DATE 9/13 19 77
Application is hereby made for a permit to
Construct Plan 2238A a 2 story, type 5 NHR
to be occupied only as I & J Single Family Dwelling
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS.$ 76,000
FEE $ 239.00 PLAN CHECK $
OWNER George L. Fain ADDRESS 225 S. Mathilda — Sv
PHONE 255-9449
Same
PHONE 733-7111 STATE LICENSE 272470
APPROVED James H. Sisk/m
BUILDING INSPECTION RECORD
DATE
INSP CTOR
DATE
INSPECTOR
FOUNDATION
FLOOR STEEL
PRE-GUNITE
FRAME
r
BOND BEAMS
LATH
�2 Y•
WALLBOARDS . & EXT. cf.69Y
FIREWALLS
MEMBRANE
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER -FLOOR
,
TIEDOWNS
-MISC-
DIAPHRAMS
ELECTRICAL INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUG
UNDERGROUND ROUGH
ROUGH WIRING
ROUGH WIRING
FINISH WIRING
FINISH WIRING
FIXTURES S
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DATE
SPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUND ROUGH
—
FLUES & COMB. AIR
7
PARTIAL ROUGH A
CONDENSATE DRAINS
ROUGH COMPLETE
y— 7low,
FINAL APPLIANCE
/t
ROOF DRAIN & LEADERS
MAIN DRAIN JA
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
ROUTE,SLIF
File No.
/ Date
Location ;? — j p n p CA
Subject
Notes 2 1 b cdor %C /Sf
To
?f CITY,;'OFCUPERTINO '
GAS SERVICE NOTICE
You are hereby authorized to connect the GAS service for
Owner or Tenant
At -'.A n .P(;;
No. of Meters
No. of Add. Meters
i
New Servi
Reconnect
Move Service
OFFICE
COPY
a.O 19 7p
Move Metteer.,,,
PLUMBING INSPECTOR /oo
ELECTRIC SERVICE NOTICE .
OFFICE COPY
BUILDING INSPECTOR NOTICE
-
CITY OF CUPERTINO
To - .� _/
You are hereby authorized to Conny/ect/electrical service four
Iq`/!l
Owner or Tenant / ,( ��Lpir ,�/,f.,i•,.�
At. -
No. of Wires �— -' v Size of Wires V �'�'- Size of Switch
Motor Load Voltage Phase
Heating Load K. W. Voltage
/
�Recannen
No. of Meters Z_ (1 light 't0 ✓ New Service
✓
Heat 11220 Three Wire
More Service
No. of Add. Meters Power � Three Phase
'
�/Move Meter
0• ELECTRICAL INSPECTOR
CERTIFICATE Of COMPLETION
BUILDING•INSPECTOR!S OFFICE
CITY OF CUPERTINO 7
DATE/ ;T/L 19,;7�p BLDG. PERMIT NO.�� �5
�/ 1,2
THE BLDG. LOCATED AT
OWNED
ICOMPLET f O
HAS BEEN FOR USEAS .-L 7'�L�IA
\ i J
Bldg. Dept.
Office Copy
BUILDING* INSPECTOR'S OFFICE
CITY OF CUPERTINO
Y 13F
P, Sewer Connection Sanitary Permit No. ./&4.1 .............
Plumbing Final Plumbing Permit No. .13 3�
LotNo...... ...... -----------------
Owner or Tenant ------- �Z An -A e.,
At -----
..... . . . . . ........ . . .................................................................
Tract ---------
Date Connected .............. 1-2 / - J...'
-L22 ............................. : ----------------------- 19.........
Date Final - -- 5-- /(- - 7
19..........
PLUMBING INSPECTOR
SLOT NO. -�
NO STREET
-ZtttO CITY OF CUPERTINO
c'{ APPLICATION FOR PLUMBING PERMIT
J
Sonitary No.
Date
Use of Work To Be
Premises fi n.G4J>vt—i �7 Performed
Owner C' ^ r Address
Phone n
Addressr o'z-; bx .ice —>
Contra/ctor, nt
Phone 3
State License _: I40,SSIO Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA. .
° ® L1
FIXTURES
NUMBER
MAIN DRAIN
Unitsl
Fees
Units
Feet,
Water Heater
%
Z
Size 3 t
Water Closet
Material
Bath Tub
/
2
To Curb
Shower
Z
To Prop. Line
Lavatories
Q
To Existing
Kitchen Sink
/
Not Conn.
Dish Wosher
Waste Disposal
Wash Tray
/
STORM DRAINAGE
Washing Machine
2
Size
Water Softener
Material
Bar Sink
7/
To Main Drain
Comb. Sink & Tray
To Curb
Dental Unit
Drinking Fountain
_
SYSTEM
r
/WATER
Sizeant
Sink
Materialic"rap
TOTAL FEES
Fixture Fee
O
gnrain
rain
Main Drain Fee
Leoder
Storm Drain Fee
ler SystemWater
Sys. Fee
alue
Gas Fee
eaker
Skimmer
Filter
Pool Sweeper
Permit Fee
3
Total
O
Total Fee
'Z
2nRf,3cr,la gtrppt LOT
NO. STREET
C.-.t C� Cu?::SING
Model 2238
CITY,-tF CUPERTINO
0 C'T 18 1977 APPLICATION FOR ELECTRICAL PERMIT
r� Permit No.
Date —AD 'l % q , 19�_ Fae S
Application is hereby made to the City Of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
""'of 1-fam, res.
D._...:-
Owner Cooke Constr.
Phone / »—/ t 11
BygANDERER ELECTRIC, ING.
Contractor, Agent
Phone II
''���jj��p�
(.A State License � /4-1,
Work To Be
D_.<...__., electrical
Address 22S So Mathilda Sunnyvale
I AGREE I WILL NOT VIOLATE ANY OF THE
COMPENSATION LAWS OF THE STATE OF
® 'e
ITEM
NEW
RPl
FEES
Number of Outlets
Number ofE
/
Number ofNumber
of
3.Sv
Ranges or Ovens K.W.
Size of Main Service
\
Number of Meters
Number of Panels
Signs - Transformers
Dryers
Motors:
H.P. Phase I
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee•—
H.P. Charges
,2
Total Fees
Z S
v L+
LOT NO.
NO. STREET •? `
CITY OF CUPERTINO
c7. APPLICATION FOR ELECTRICAL PERMIT
Data /c/�1 �'"^'�7 ,1917
Permit No.
Fee $ O—Z 0
ApplfcatioA, is jherby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
Use of Work To Be
Premisess Performed
Address � >. G
Phone �' �(,l/V/^1/y/l//��/�
BY Address /
LGIntractor, A4ent
State
f I AGREE I WILL NOT VIOLATE ANY OF
\` COMPENSATION LAWS OF THE STATE
p L.
ITEM - I NEW I RPL I FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures -
Ranges or Ovens K.W.
Size of Main Service
Number of Meters
Number of Panels
Signs - Transformers
Dryers
Motors.
H.P. Phase
H.P. Phase
H.P. Phase
Power Poles --�
Misc.
H.P. Char(
Total Fees
LA
ELECTRIC SERVICE NOTICE
OFFICE COPY
BUILDING INIVEgOOkiNc�Kf
CITY OF CUPERTINO
/ f
To eQq�
191 I
% YY re hAre authorized to Connect electrical service e for
yd
Owner lTenant
e`Cn & Q Q- Vc'� P', I t,)
'
or
)`r
Z. C7 O i-�'� Zs
At .
No. of Wires Size of Wires Size of Switch
/ C-)04
Motor Load Voltage Phase
Heating Load K. W. Voltage
Light 110New Service
No. of Meters -
Reconnect
i
Hear 120'� Three Wire More Service
NO.of.Ad Meters Poev
w r � Three Phase Move Meier
n w� ELECT /
ICA INBPE R
U
z�Q63 S4%w7 ST LOTNO.-�
NO. STREET '
CITY OF CLIPERTINO
C:" O APPE6ATION FOR APPLIANCE PERMIT
O C T 2 5 1971
Permit N
S 2R n9� Fee
Application is hereby made to the City of Cupertino for a permit to install gas,
appliances as listed on the reverse side hereof, and agrees to install said appliances in�
accordance with the provisions of the Plumbing Code of the City of Cupertino, and all,
other laws applicable thereto.
Use of /J�S Work To Be
Premises /C Performed
By_ %CO f9r-7-6 Address tos OeISTICIV /!t%
Contractor, Agent
Phone s C % ZsA9 , Cy��°BEGC-
State License J0 76 Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
Q u
APPLIANCE II UNITS I FEES
OF
TO
NOT
I B.T.U.'S
PERMIT FEE L l -
oZ or? 6.3 ra L,o S -r LOT NO. 3 a y
NO. STREET ' ^ -
CITY OF`CUPERTINO (VAL. 7�000
CAP. {lit
a APPLICATION FOR BUILDING PERMIT FEE-rlf—
�7 r
5 �ele� �`��� �'% / Building Per. No. /233 _
aZ '19 Sanitary Per. No. /OaS/ISf
LL
3 tai L1pplfllatir i0ereby made for a permit td :Q It1 STIPUCT PL..o M 113 B A
4/ = 0 FFu'' story, Type s AA Structure
s� � cT S, F- D. c l -4 .
O to be occupied only a in accordance with
a
>�
Z N
a W
W =
a LL
OO
>
O a
Z
Z
30
Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ 74 000
It is hereby agreed that the requirements of the
Cupertino Building and Zoning Ordinances and all
other laws applicable to the construction, location, and
use of buildings within the City of Cupertino will be
PI Ck Fee $
Fee $A.34on
Total Fee $
e. ADDRESS
�iflN �7 Lr h,,
ES
BUILDING I P
LA